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<br /> "-'-- --~- BI -
<br />ACORD, CERTIFICATE OF LIABILITY INSURANCE GS DATE
<br />UOBB 07-09-2004
<br />PRODUCll'! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />HRH CO OF METROPOLITAN WASHING/PHS ONLY AND CONFERS NO RIGHTS OPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />630070 P.(866)467-8730 F. (877)538-8526 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />P. O. BOX 29611
<br />CHARLOTTE NC 28229 INSURERS AFFORDING COVERAGE
<br />DISURED A - C!.C)01--133 INSURER A,Hartford Fire Ins CO
<br /> INSURER B.The Hartford Ins Group
<br />THE FERGUSON GROUP, LLC ;I-dOC3 - /37 INSURER c,
<br />1130 CONNECTICUT AVENUE NORTH WEST, SUI Ebo,1{),Q
<br />WASHINGTON DC 20036 INSURER E.
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUS :ONS AND CONDITIONS OF SUC
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ljq~rl 'l'YPE: OF INSURANCE POLICY NUMBER POLICY EFFECTIVE P~ICY EXPIRATION LIMITS
<br />! GENEmAL LIABnI'l'Y RACH OC'CIlRRENCE ,1 000.000
<br />A ~"""M "'''''''' UAmm 42 SBA DE4944 04/08/04 04/08/05 FIRE DAMAGE (Any On<! fi ,300,000
<br /> C1.AIMSJllADE WOCClnl I MED EXP (Any on" O"LI!On~ ,10 000
<br />X Business Liab PERSO~_. ADV INJURY ,1 000'9~
<br />~, ""'n ~~:' ^Fxl': " GENERAL AGCREGATE ,2 000.000
<br />, ~DUCTS - COM,PIOP AGG ,2 000.000
<br /> POLIC'Y rJ-R;::';; X LaC'
<br />B~~'" mmm COMBINED SINc.LE LIMIT ,1,000,000
<br />A ANY AUTO 42 SBA DE4944 04/08/04 04/08/05 (E.. /lCloident)
<br />, 1\l.L OWNED AUTOS BODLLYINJURY
<br /> [Per person) ,
<br />~ "",omeo """
<br /> X HIREr: AUTOS BODilY INJ;my
<br /> X NON-OWNED AUTOS (Pe" ,,"ooident: ,
<br />. : 1---
<br /> PROPERTY DAMAGE
<br /> I (P"" ""cide,.t) ,
<br /> -;t--- f--. .----- 1--- ---
<br />H:' UAOCC'" ~ .j(;-~ ' AUTO ONLY - EA ACCIDENT ,
<br /> ANY lIUTO OTHER THAN 1':1\ ACC , --
<br /> (/ / ~/F\ (c ,?l ( _/ A~TC ONLY, AGe ,
<br />~E:S.sl,IABlL[:rY .' EACH OCCORRENCE ,
<br />__j OCCDJI 0 CLAIMS I'.ADE AGGREGATE ,
<br />~DEDUCTIm.E 1--. ,
<br /> ,
<br /> : RETEN:rION , ,
<br /> WORKE:R.s COflPENSATIOIl lUID I :"~,STATU~_,,,I X IO~~- 000-
<br />B EMPLOYERS' LIABILITY 42 WEC BR0303 04/08/04 04/08/05 ,500
<br /> E.L. EACH ACCIDENT
<br />I E.L. DISEASE - Ell EMPLO ,500,000
<br /> E.L.OISEASE_POLICYL .1,00 000
<br />!OTHER
<br />i I '----- ----------
<br />DE:llCRrP']'rON OF OP~TrONS/LOCATIONS/VEHICLES/E:l(CLUStONS ADDE:D BY E:NDOR.'lEME:NT/SPE:CtAL PRCNHIIQNS
<br />Those usual to the Insured's Operations. Certificate holder the City of Santa
<br />Ana, its officers, employees, agents, volunteers, and representatives are
<br />named as AcIdtional Insured on behalf of work performed by The Ferguson Group
<br />per the Business Liability Coverage Form S80008. Please see cover page for
<br />add'l wordinG.
<br />CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER UTTE:R, A CANCELLATION --
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE TnEREOf, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br /> 30 DAYS WRITTEN NOTICE (10 ~AYS FOR NON-PAYMENT) TO THE CERTIFICAT
<br />The City of Santa Ana HOLDER NAMED TO THE LEFT, BUT FA=LURH TO DO SO SHALL IMPOSE NO
<br /> OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS 0
<br />20 Civic Center Plaza REPRESENTATIVES.
<br />Santa Ana, CA 92701 -.-.- ---
<br /> ~ORQPRE:BEN~~,
<br /> -----.--.-, I ~ ..._~._
<br />
<br />ACORD 25-5 (7/97)
<br />
<br />C ACORD CORPORATION 1988
<br />
<br />
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